Wilkes-Barre Clinic Company LLC
NPI 1144533670ActiveOrganization· Surgery· Wilkes Barre, PA
Surgery in Wilkes Barre, Pennsylvania, registered in NPPES in July 2010. The authorized official on file is Jennifer L. Jackson, Senior Director Provider Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144533670 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2010 |
| Last updated in NPPES | Jan 25, 2022 |
| Certified by provider | Jan 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Neurological Surgery | 207T00000X | — | PA |
| Surgery, Surgical Oncology | 2086X0206X | — | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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